Bilingual Senior Medical Billing & RCM Lead (Remote)

SnappyCX, Inc.; United States; Remote; USD 55,000 - 83,000; Part time

Job summary

SnappyCX, Inc. is seeking a Bilingual Senior Medical Billing & RCM Specialist to join our remote team. You will manage U.S. billing workflows, handle denials, and ensure accurate claims across Medicare, Medicaid and commercial payers.

The role requires 3+ years in U.S. medical billing, fluent English and Spanish, and the ability to work independently from a remote setting while meeting productivity and quality targets.

Qualifications

• Minimum 3 years of hands-on experience in U.S. medical billing.
• Direct experience supporting the U.S. healthcare revenue cycle.
• Hands-on experience with Medical Billing, Medical Coding, CPT, ICD-10-CM, HCPCS, Claims Submission, Denial Management, Accounts Receivable, Insurance/Payer Follow-up, Revenue Cycle Management.
• Experience working with U.S. insurance payers including commercial insurance and/or Medicare/Medicaid.
• Working knowledge of EHR/EMR systems, clearinghouses, payer portals, or healthcare billing software.
• Fluent in English and Spanish with professional communication in both languages.
• Strong attention to detail and ability to independently manage billing tasks and follow up on outstanding accounts.
• Comfortable working remotely and meeting client-specific productivity and quality expectations.

Responsibilities

• Manage day-to-day U.S. medical billing and revenue cycle activities.
• Prepare, review, and submit accurate claims to Medicare, Medicaid, and commercial insurance payers.
• Review patient accounts, medical records, charges, and insurance information for billing accuracy.
• Apply and interpret CPT, ICD-10-CM, HCPCS, and applicable modifiers based on the practice's requirements.
• Identify and correct billing and coding errors before or after claim submission.
• Manage claim rejections, denials, corrections, appeals, and resubmissions.
• Perform Accounts Receivable (AR) follow-up on outstanding and aging claims.
• Investigate unpaid, underpaid, and incorrectly processed claims and follow up with insurance payers.
• Review EOBs and ERAs and reconcile payments against patient accounts.
• Perform or support payment posting and account reconciliation as required.
• Verify patient eligibility, insurance information, and benefits when required.
• Work with payer portals, clearinghouses, and billing systems to research and resolve claim issues.
• Monitor outstanding AR and take appropriate action to move accounts toward resolution.
• Identify recurring billing, coding, denial, or payment issues and communicate trends to the appropriate team.
• Communicate professionally with insurance companies, providers, patients, and internal teams.
• Maintain accurate billing documentation and follow client-specific processes and compliance requirements.
• Work independently in a remote environment while meeting accuracy, productivity, and turnaround-time expectations.

Skills

Medical Billing

Medical Coding

CPT

ICD-10-CM

HCPCS

RCM

Denial Management

Accounts Receivable

Insurance Follow-up

EHR/EMR

Bilingual English Spanish

Job description

SnappyCX, Inc. is seeking a Bilingual Senior Medical Billing & RCM Specialist to join our remote team. You will manage U.S. billing workflows, handle denials, and ensure accurate claims across Medicare, Medicaid and commercial payers.

The role requires 3+ years in U.S. medical billing, fluent English and Spanish, and the ability to work independently from a remote setting while meeting productivity and quality targets.